“Made a list of all persons we had harmed, and became willing to make amends to them all”
A lot of the heavy has been done already if you have not burned your 4th step. Even if you have burned it or destroyed it in some way, it wont be hard to come up with a list of people. For the most part this is going to to be family and friends, not the yellow pages.
So this step is not about making amends, just writing the list, and becoming “willing” to make amends. There may be some amends that need discussion with a sponsor or spiritual adviser.
A lot of us believe we suffered from a soul sickness as the book says, and making your list and preparing to make amends, can go a long way to healing this flu of the soul.
When we hurt people, whether on purpose, or by accident, we fuel this soul sickness, and by correcting our past mistakes and by living rightly we repair our fractured souls.
Working closely with a sponsor will pay huge dividends, it is to easy to make mistakes, and or miss the lesson if we go it alone.